Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Collier Boulevard Hma Physician Management LLC

Organization Family Medicine Physician · NPI 1952979080

Collier Boulevard Hma Physician Management LLC is a Family Medicine Physician in Marco Island, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1839 San Marco Rd
Marco Island, FL 34145-6722
Phone: (239) 394-1670
Fax: (239) 394-1677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Urology Physician Taxonomy 208800000X
Physician Assistant Taxonomy 363A00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1952979080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names Collier Boulevard Hma Physician Management Llc; Collier Boulevard Hma Physician Management Llc; Physicians Regional Medical Group-Collier
NPI enumeratedJune 15, 2021
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing addressPo Box 689022, Franklin, TN 37068-9022

Other providers in Marco Island